【摘要】 目的比较下胫腓联合损伤复位固定后修复与不修复下胫腓前韧带两种手术方法的疗效。方法 38例下胫腓联合损伤随机分为2组,修复组17例采用皮质骨螺钉固定并修复下胫腓韧带;不修复组21例单纯采用皮质骨螺钉固定后不修复下胫腓前韧带。比较两组在手术时间、术后疗效、术后下胫腓联合重叠距离等方面的差异。结果 38例均获随访11～20个月,平均15.4个月。修复组手术时间较不修复组长,差异有统计学意义(P<0.05)。术后两组下胫腓联合重叠距离比较,差异无统计学意义(P>0.05)。疗效按AOFAS评定标准,修复组和不修复组的优良率分别为94.1%、95.2%,差异无统计学意义(P>0.05)。结论下胫腓联合损伤采用皮质骨螺钉内固定后下胫腓前韧带可不予以修复。更多还原

【Abstract】 Objective To compare the therapeutic effects between repairing anterior tibiofibular ligament or not after fixation with metal screw in the treatment of distal tibiofibular syndesmosis injury.Methods Thirty eight patients with distal tibiofibular syndesmosis injury were randomly divided into two groups.Seventeen patients were treated by repairing anterior tibiofibular ligament and 21 patients were not repaired after fixation with metal screw.The lasting time of operation,blood loss during operation and postoperative curative effects were compared between two groups.Results All the patients were followed up for 11 to 20 months(average of 15.4 months).The intraoperative blood loss in repair group were significantly more than those in not repair group(P <0.05).The distal tibiofibular overlap distance between two groups was not significantly different(P >0.05).According to AOFAS effective evaluation criteria,the repairing ligament group’s excellent and good rate was 94.1%,and in the not repair group’s 95.2%,but there was no statistically significant difference between two groups(P >0.05).Conclusion It is unnecessary to repair the anterior tibiofibular ligament after fixation with metal screw in distal tibiofibular syndesmosis injury.更多还原